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9ZP-30295-71899

3 vaccinations 4 coded responses 7 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
024 / MA
Registered
2021-03-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-30
    Dose 1 — Moderna
  2. 2021-02-27
    Dose 2 — Moderna
  3. 2021-03-01
    Registered in v-safe
  4. 2021-03-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Herpes zoster — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Shingles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-04
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Herpes zoster — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Shingles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-06
    Survey response — day 7, dose 2
    MedDRA: Herpes zoster — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Shingles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Poor
    Adult check-in
  9. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-11-24
    Dose 3 — Moderna
  11. 2022-01-23
    Call successful
    Participant prefers to complete VAERS report online
  12. 2022-02-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2022-05-26
    Survey response — 6 months, dose 3
    MedDRA: Delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Delivered healthy baby vaginally
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-05-26
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Hospitalization · 1 call case(s)
  15. 2022-05-26

Vaccinations

DoseDateManufacturerCo-administered
12021-01-30Moderna
22021-02-27Moderna
32021-11-24Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Shingles

2021-03-05

Systemic reaction (other): Shingles

Release 5 — day 7, dose 2

2021-03-06

Systemic reaction (other): Shingles

Release 11 — 6 months, dose 3

2022-05-26

Symptoms: Delivered healthy baby vaginally

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDDelivery · · ✓
SROHerpes zoster ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release